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Upper endoscopy (EGD) with biopsy in Ohio: what insurers pay

Posted commercial rates at 12 Ohio hospitals, each next to its own Medicare base rate.

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CPT 43239

HospitalMedian across insurers× MedicareInsurersFile date
University Hospitals St. John Medical Center Westlake$2,0682.4×42026-07-14
Bethesda North Cincinnati$2,2702.6×42026-04-01
University Hospitals - Elyria Medical Center Elyria$2,5252.9×32026-07-14
MetroHealth System Cleveland$2,7853.3×42026-04-01
University Hospitals Ahuja Medical Center Beachwood$3,4764.0×12026-07-14
Medina Hospital Medina$3,4844.1×42026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$3,5024.1×32026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$3,6424.2×32026-06-15
Cleveland Clinic Fairview Hospital Cleveland$3,6424.2×32026-06-15
Cleveland Clinic (main campus) Cleveland$3,7624.4×42026-06-16
Marymount Hospital Garfield Heights$3,9204.6×22026-06-15
Mount Carmel East Columbus$6,9027.9×192026-03-31

Questions

How much do insurers pay for upper endoscopy (egd) with biopsy in Ohio?

12 Ohio hospitals post usable commercial rates for upper endoscopy (egd) with biopsy in their federal price-transparency files. For CPT 43239, hospital outpatient, the median across 12 hospitals is $3,493, 4.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.